NPIMap

Organization Active NPI

Public Health Managment Corporation (PHMC)

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1194361980
Registry record updated Nov 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PUBLIC HEALTH MANAGMENT CORPORATION (PHMC)
Practice address
2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Phone
(215) 731-2402
Fax
(267) 592-4123
NPI assigned
Nov 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jay Milton Wussow
Title
Dir of Finance & Regulatory Affairs
Phone
(215) 985-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2301 E Allegheny Ave
Philadelphia, PA 19134-4427

Mailing address

1500 Market Street
Lm500, Lower Mezzanine, West Tower
Philadelphia, PA 19102-2110
Phone (215) 985-2500

National Provider Directory

National Provider Directory
Tax ID family
Public Health Man Corp39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1194361980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARKET STREET",
            "address_2": "LM500, LOWER MEZZANINE, WEST TOWER",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022110",
            "telephone_number": "215-985-2500",
            "fax_number": "215-985-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344427",
            "telephone_number": "215-731-2402",
            "fax_number": "267-592-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUBLIC HEALTH MANAGMENT CORPORATION (PHMC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "WUSSOW",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MILTON",
        "authorized_official_title_or_position": "DIR OF FINANCE & REGULATORY AFFAIRS",
        "authorized_official_telephone_number": "215-985-2575"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.